2017 AHC/NCAL Annual Convention & Expo

Safe Transition Planning - Experts Driving Outcomes

Tuesday, October 17
2:15 PM - 3:45 PM
Location: Lagoon I&J
CE: Nurses: 1.5 | NAB: 1.5

The updated regulations that occurred in November 2016 have specific requirements for long term care facilities participating in Medicare and Medicaid programs. Included in those rules are updated requirements for transfer and discharge. Facilities have long transferred and discharged residents to other nursing homes, or communities. The new updates require that a facility begin safe transfer and discharge transitions soon after admission and that those transitions be initiated through conversations with the resident and/or their responsible parties through person-centered discharge goals and care planning into the community. These goals and discussions are the basis for the requirement of facilities being active partners in effective transitions, reducing hospital readmissions and providing safe post-discharge care in the communities.

With a combined LTC experience of over 60 years, the presenters will review the rules of participation related to transfer and discharge. They will discuss the facilities’ responsibility in person-centered care plan development, documentation requirements, notice of transfer and discharge requirements to the State Ombudsman. Attendees will be provided with specific examples of facilities facing difficult transfer and discharge transitions, tools for transfer and discharge care plan, documentation practices and a review of Quality Measure data analytics driven by the IMPACT act of 2014.

Learning Objectives:

Patti Garibaldi

Director of Clinical Consulting
Consonus Health

Patti Garibaldi, RN, BA
Director of Clinical Consulting
Consonus Healthcare

Patti Garibaldi grew up appreciating the elderly—the positive influence they had on her life, and the priceless gifts of time and attention they gave. She’s always had compassion for the challenges of aging, and has devoted virtually her entire professional life to long-term care. Now as Director of Clinical Consulting for Consonus Healthcare, this self-described “science geek” is one of the profession’s foremost experts.
She’s been with Marquis Companies and Consonus since 1991, and it’s her job to be the clinical authority on all aspects of nursing in long-term care environments. Drawing on more than 30 years of experience, Patti visits customer facilities to review processes, maximize reimbursement and improve care quality. She particularly enjoys survey preparation, and helps leadership teams find a path to compliance through what she calls “conversations of care.”
Patti’s nursing career has included time in oncology, hospice and other acute care settings. Within long-term care, she’s held virtually every possible nursing job description, including resident care manager, charge nurse and director of nursing services, giving her unique credibility to offer guidance and support. Besides her nursing degree, she holds a Bachelor of Arts in Human Resource Management from George Fox University.
Long term care entities frequently turn to Patti for collaboration in developing programs and standards of practice, and she has worked closely with state agencies and international organizations on quality improvement initiatives. The highly respected leadership program she recently created for nurses has been embraced by associations in California, Oregon and Washington.
Patti is in high demand as a speaker and panel member on topics ranging from medication management and MDS 3.0 to fall prevention, wound care, Quality Indicator Survey and Medicare PPS. She’s an accomplished trainer and analyst whose presentations help cut through inefficient systems and overwhelming paperwork to get to the critical goal—quality patient care.


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Lori Cooper

Chief Operating Officer
Healthmark Services, Inc.

Lori Cooper is the Chief Operating Officer for Healthmark Services, Inc in Van Buren, Arkansas. She received her Master of Public Administration/Health Services Administration degree from the University of San Francisco. Lori is very active in the long-term care industry, serving on the Executive Board for the California Association of Health Facilities and serving on the AHCA Quality Improvement Committee and as a Master Examiner for the AHCA/NCAL Quality Award Program. As a Skilled Nursing Administrator, Lori led her center to be the first organization in California to achieve the prestigious AHCA/NCAL Gold National Quality Award.


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Safe Transition Planning - Experts Driving Outcomes


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